Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Marie Clark, APRN

Individual provider Family Nurse Practitioner · NPI 1689395311

Nicole Marie Clark, APRN is a Nurse Practitioner in Mantua, New Jersey. Qualified in 2022, 4 years ago. Practices with Nj Certified Dermatology PC, a 36-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1141 Mantua Pike
Mantua, NJ 08051-1608
Phone: (732) 456-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01365300 (NJ)

Record details

NPI number1689395311
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateAugust 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nj Certified Dermatology Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount